A mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP)

BMC Cardiovascular Disorders

Study Protocol

Darren L Walters¹  Gavin Brealey²  Michelle Aust²  Belinda Stephens²  Bernadette Sellwood²  Rebecca Francis²  Chi-Keung Lee²  Tom Sellwood²  Cherie Cowen²  Kylie Neighbour²  Anita Fairfull²  Sheridan Hoffman²  Marie Steer²  Mohan Karunanithi³  Antti Sarela³ 

[1] Cardiology Program, The Prince Charles Hospital, Brisbane, Qld, Australia;Primary and Community Health Services Metro North Health Service District, Brisbane, Qld, Australia;The Australian E-Health Research Centre, CSIRO, The Royal Brisbane and Women's Hospital, Brisbane, Australia;

关键词: Mobile Phone;    Cardiac Rehabilitation;    Cardiac Rehabilitation Program;    Cardiac Rehabilitation Patient;    Cardiac Rehabilitation Service;   

DOI  :  10.1186/1471-2261-10-5

 received in 2009-10-01, accepted in 2010-01-28,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundCardiac rehabilitation programs offer effective means to prevent recurrence of a cardiac event, but poor uptake of current programs have been reported globally. Home based models are considered as a feasible alternative to avoid various barriers related to care centre based programs. This paper sets out the study design for a clinical trial seeking to test the hypothesis that these programs can be better and more efficiently supported with novel Information and Communication Technologies (ICT).Methods/DesignWe have integrated mobile phones and web services into a comprehensive home- based care model for outpatient cardiac rehabilitation. Mobile phones with a built-in accelerometer sensor are used to measure physical exercise and WellnessDiary software is used to collect information on patients' physiological risk factors and other health information. Video and teleconferencing are used for mentoring sessions aiming at behavioural modifications through goal setting. The mentors use web-portal to facilitate personal goal setting and to assess the progress of each patient in the program. Educational multimedia content are stored or transferred via messaging systems to the patients phone to be viewed on demand. We have designed a randomised controlled trial to compare the health outcomes and cost efficiency of the proposed model with a traditional community based rehabilitation program. The main outcome measure is adherence to physical exercise guidelines.DiscussionThe study will provide evidence on using mobile phones and web services for mentoring and self management in a home-based care model targeting sustainable behavioural modifications in cardiac rehabilitation patients.Trial registrationThe trial has been registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) with number ACTRN12609000251224.

【 授权许可】

CC BY   
© Walters et al; licensee BioMed Central Ltd. 2010